TY - CHAP M1 - Book, Section TI - Chapter 25. Focal Segmental Glomerulosclerosis A1 - Gipson, Debbie S. A1 - Trachtman, Howard A2 - Lerma, Edgar V. A2 - Berns, Jeffrey S. A2 - Nissenson, Allen R. PY - 2009 T2 - CURRENT Diagnosis & Treatment: Nephrology & Hypertension AB - Focal segmental glomerulosclerosis (FSGS) can be primary or secondary.Diagnosis requires the presence of the characteristic histopathologic lesion.Genetic abnormalities in podocyte proteins may account for 25% of primary FSGS.The presenting complaint is usually proteinuria or nephrotic syndrome.Nearly 50% of cases progress to end-stage renal disease (ESRD) over 5–10 years and disease recurs in 30% of those who receive a kidney transplant.Failure to respond to corticosteroid treatment is a poor prognostic sign and there is no proven therapy in these patients. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/19 UR - accessmedicine.mhmedical.com/content.aspx?aid=6335662 ER -